texas peer assistance program nursesthe texas board of nursing june 15, 2016 ... participant...
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TPAPN offers life renewing opportunities to nurses for recovery from substance use & certain psychiatric disorders, thus promoting professional accountability, protecting the public, and
returning nurses to safe practice.
Texas Peer Assistance Program for Nurses FY 2016 3rd QUARTER REPORT
to THE TEXAS BOARD OF NURSING
June 15, 2016
Texas Peer Assistance Program for Nurses www.tpapn.org Helpline: 8002885528 Business: 5124677027
Fax: 5124672620 A program of the Texas Nurses Foundation
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INTRODUCTION This report provides information regarding TPAPN activities for the BON’s third quarter (March –
May) of FY 2016.
CLIENT ACTIVITIES Referrals by Referral Source & Nurse Type, Graph 1, page 4. A total of 132 referrals were
received during the 3rd quarter of FY 2016, compared to 144 nurses in the 2nd quarter. BON referrals
were down 25% this quarter while other referrals increased as follows: Self Referred 59% and Board
Ordered: 9%. Non‐BON Referred remained the same at: 4%.
Active Cases by Nurse Type 1st Quarter FY 2013 – 3rd Qtr. FY 2016, Graph 2, page 5. Participation from September 2012 to May 2016 demonstrates increased participation from 588 to 715
participants, an increase of 22%. In September 2013, the length of the TPAPN program increased from
two‐three to three‐five years. The increased program length has resulted in an increasing number of
active cases. This increase is expected to trigger a steady rise in number of participants.
Referral Outcomes by “Type”, FY 2015 – 3rd Qtr. FY 2016, Graph 3, page 6. The overall numbers for each type of referral are as follows:
297 nurses were referred under “Board Order” to TPAPN. Of the 297 referrals, 58% signed participation, 28% were discharged (“referred by TPAPN to BON”) to the BON and 14% are pending enrollment.
532 nurses were referred under “BON 3rd Party referrals” to TPAPN. Of the 532 referrals, 35% signed participation agreements, 63% were discharged to the BON and 2% are pending enrollment.
192 nurses were referred under “Direct 3rd Party referrals” to TPAPN (received by TPAPN directly, primarily from employers). Of the 192 referrals, 36% signed participation agreements, 56% were discharged to the BON and 8% are pending enrollment.
79 nurses were referred under “Self‐referrals” to TPAPN. Of the 79 nurses, 59% signed participation while 41% were discharged to the BON and no nurses pending enrollment.
Referral (Discharge) Types from TPAPN to BON, FY 2015 – 3rd Qtr. FY 2016, Graph 4, page 6. This graph provides outcome data for individuals referred to TPAPN. The majority of discharges are
due to lack of response or enrollment by the nurse following initial contact by TPAPN.
TPAPN Statistical Information, 3rd Qtr. FY 2016, Attachment C, page 18. This section provides information categorized by program track and nurse type for the 3rd Quarter FY
2016 (3/1/2016 – 5/31/2016), noting number and type of signed Participation Agreements; number of participants employed in nursing; number of participants that completed; and monitoring activities including number of drug screens requested, conducted and results of the tests.
OUTREACH ACTIVITIES 4/8 – 4/9: TPAPN Advocate & Faculty Liaison Spring Workshop at Texas Computer Education
Association (TCEA) Conference Center, 3100 Alvin DeVane Blvd., Bldg. B, Austin, TX 78741 (45 Nurses attended)
4/15 – 4/16/16: Leanne Bunch, MSN, RN, LCDC, Clinical Supervisor and Madeleine Lamarche, CJ‐RN, LCDC, Case Manager attended TNA House of Delegates at Westin Austin Hotel at the Domain, Austin, TX (140 attended)
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ADMINISTRATIVE ACTIVITIES 3/4: Regularly scheduled business meeting of the TPAPN Advisory Committee, Attachment
A, pages 7 – 8
STATUS REPORT TPAPN’s new Program Director is scheduled to begin work in July.
FISCAL See financials, Attachment B, pages 9 – 17 Current net profit is $27,640.89. Budget is for a breakeven year. Total income is below
budget by $84,666.35. Total Expenses are below budget by $112,307.24
REQUESTS OF THE BON TPAPN has no requests for the BON at this time.
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Total20
40
60
80
100
120
140
Referrals by Referral Source and Nurse Type3rd Quarter FY 2016
APRN
LVN
RN0
Self ReferredNon‐BON Referred BON Referred
BON OrderedEEP
Total Referrals
Self Referred Non‐BON Referred BON Referred BON Ordered EEP Total Referrals
APRN 0 0 0 0 0 0
LVN 1 1 14 6 0 22
RN 16 23 53 16 2 110
Total 17 24 67 22 2 132
GRAPH 1
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300
400
500
600
700
800
Active Cases by Nurse Type1st Quarter FY 2013
through3rd Quarter FY 2016
1st Qtr 13
2nd Qtr 13
3rd Qtr 13
4th Qtr 13
1st Qtr 14
2nd Qtr 14
3rd Qtr 14
4th Qtr 14
1st Qtr 15
2nd Qtr 15
3rd Qtr 15
4th Qtr 15
1st Qtr 16
2nd Qtr 16
3rd Qtr 16
RN 439 442 440 452 442 411 432 479 486 485 537 548 549 555 580LVN 119 128 123 120 113 105 124 122 116 125 136 135 126 127 120APRN 30 30 31 32 34 34 35 34 32 29 23 21 19 15 14Total 588 599 594 605 589 551 591 636 634 639 697 704 694 697 715
0
100
200
GRAPH 2
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Referral Outcomes by Type, FY 2015 – 3rd Qtr. FY 2016, (9/1/2014 – 5/31/2016) GRAPH 3
Referral (Discharge) Types from TPAPN to BON, FY 2015 – 3rd Qtr. FY 2016, (9/1/2014 – 5/31/2016) GRAPH 4
0 100 200 300 400 500 600
Self Referral
Direct 3rd Party
BON 3rd Party
Board Order
79
192
532
297
47
70
186
171
0
15
11
42
32
107
335
84
Referred by TPAPN to BON
Pending Enrollment
Signed Participation
Total Referrals
0 50 100 150 200 250 300 350
Self Referral
Direct 3rd Party
BON 3rd Party
Board Order
5
12
39
21
2
2
3
7
5
6
6
19
13
26
55
23
4
26
104
8
32
107
335
84
Total Referred by TPAPN to BON
Decline Participation
Did Not Respond
Did Not Enroll
Nonadherence
Relapse
Other
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Texas Peer Assistance Program for Nurses TPAPN Advisory Committee
March 4, 2016 – MEETING MINUTES P a g e | 1
Approved on:
I. Call to Order 10:10 a.m. A regular Advisory Committee meeting was held at TNA Offices Dietrich Training Conference Room, Austin, Texas on March 4, 2016. The meeting convened at 10:10am, presided by Co‐Chair Sally Gillam, TONE
II. Roll Call
Advisory Committee MEMBERS PRESENT: Denise Benbow, BON; Sara Bishop, TOBGNE
(teleconference); Stephanie Espinosa, LTC; Sally Gillam, TONE (Co. Chair); Leonard Keesee, Advocate
Committee; Brent LoCaste‐Wilken, EAP; Cheryl Williams, Human Resources; Melanie Wiseman, (proxy
for Julie DeNofa), Treatment Provider; Tammy Wolff, LVNAT
Advisory Committee MEMBERS ABSENT: Kathie Rickman, Committee Chair, Recovering Nurse; Pam
Whitely, Mental Health
STAFF PRESENT: Leanne Bunch, Clinical Supervisor; Katy Davila, POC
III. Discussion Item: Today’s agenda (for acceptance) Comments: All members approved agenda
IV. Action Item: 12/4/15 Advisory Committee Minutes
MOTION #1: Moved, Motion to approve 12/4/2015 Advisory Committee minutes Moved by: Leonard Keesee, 2nd by: Cheryl Williams APPROVED
V. Information Item: Old Business – LB A: Committee Vacancies: TxANA, TNA/TNF – LB
VI. Information Item: Old Business – LB B: Continuing Task Force updates 1. Employer Guide – Pending 2. Slide show for employers & co‐workers – preparing to track number of views 3. Participant Handbook – Completed 4. Diagnoses for TPAPN to accept – Published January 2016 BON newsletter by Denise Benbow
VII. Information Item: Old Business – LB C. Special projects/proposals for consideration: 2005 Outcome study for Impaired Nurses, by Connie Bowling and Michael Van Doren ‐ Tabled
VIII. Information Item: New Business – LB A. Operations updated, actively recruiting new TPAPN Program Director (informational) – LB
IX. Information Item: New Business – LB B. Financial updated YTD as of 1/31/16 Balance & income Statement, Attachment B (informational) – LB
ATTACHMENT A
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Texas Peer Assistance Program for Nurses TPAPN Advisory Committee
March 4, 2016 – MEETING MINUTES P a g e | 2
Approved on:
X. Action Item: New Business: C. Representative Brent LoCaste‐Wilken, EAP & Leonard Keesee, TPAPN Advocate Comm. have requested to continue their term. The committee will need to vote, ATTACHMENT C, MOTION #2: Moved, Motion to approve Brent LoCaste‐Wilken, EAP; Leonard Keesee, TPAPN Advocate Committee; pending approval by TNF/BOD Moved by: Leonard Keesee, 2nd by: Stephanie Espinosa APPROVED
XI. Information Item: New Business – LB D. Members ending their terms, Recovering Nurse, Treatment Provider, Long Term Care, H/R Representative, Member to suggest replacement – LB MOTION #3: Kathie Rickman, Committee Chair, Recovering Nurse; Stephanie Espinosa, LTC; Cheryl Williams; HR Representative to continue their term; Julie DeNofa, Treatment Provider recommends Melanie Wiseman to replace; pending approval by TNF/BOD Moved by: Leonard Keesee, 2nd by: Stephanie Espinosa APPROVED
XII. Information Item: New Business – LB E. How can we remove barriers to employment for TPAPN participants? Comments: Suggestion to send a letter to CNO’s, Human Resource departments and Nurse Recruiters
to provide education on hiring TPAPN nurses. Need to identify facilities that are “TPAPN friendly”.
Advisory Committee members may present information on TPAPN. The committee reviewed
Employer Surveys trends from the past five years.
XIII. Information Item: New Business – LB F. Revise advocate, employer, and participant survey questions, Handout – LB Comments: Revised surveys for conversion to Survey Monkey.
XIV. Information Item: Announcements – LB A. Nursing Education Activities: 1. 3/14 – 3/18: LB to attend NOAP conference 2. 4/8 – 4/9: TPAPN Spring WS & Advocate Training @ Texas Computer Education Association, 3100 Alvin DeVane Blvd., Bldg. B, Austin, TX 78741 3. 11/4/2016 – TPAPN Fall Workshop & Advocate Training @ TPAPN HQ 4/27 – 28/2017 – Planning 30 year anniversary celebration
XV. Information Item: Next Committee meetings:
6/3/2016; 9/2/2016; 12/2/2016
XVI. Adjourned 1:30 p.m. Minutes respectfully submitted by: _________________________________________________ Katy Davila, TPAPN Program Operations Coordinator March 4, 2016
ATTACHMENT A
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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ATTACHMENT B
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TPAPN STATISTICAL INFORMATION 3rd Quarter FY 2016
PARTICIPATION AGREEMENTS SIGNED 3/1/16 – 5/31/16
TRACK LVN’s RN’s APRN’s Total TPAPN Substance Use Disorder (SUD) 2 47 0 49 TPAPN Dual Diagnosis (Dual) 1 10 0 11 TPAPN Mental Health (MH) 1 0 0 1 Mental Health Support Program (MHSP) 3 2 0 5 Extended Evaluation Program (EEP) 0 5 0 5
PARTICIPANTS EMPLOYED IN NURSING 3/1/16 – 5/31/16 LVN’s RN’S APRN”S
70 381 10
PARTICIPANTS COMPLETED BY NURSE TYPE AND TRACK 3/1/16 – 5/31/16 TRACK LVN’s RN’s APRN’s TOTAL TPAPN Completions 2 8 0 9 MHSP Completions 0 3 0 3 EEP Completions 0 6 0 6
DRUG TEST MONITORING ACTIVITIES 3/1/16 – 5/31/16 TRACK Requested Conducted Positive Negative Abnormal Dilute Missed Test TPAPN 3,336 3,244 155 3,032 11 29 17 MHSP 8 7 1 6 0 0 0 EEP 163 160 2 154 3 0 1
ATTACHMENT C
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